Individual
DOMINIC NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15910 VENTURA BLVD, SUITE 1502, ENCINO, CA 91436-2802
(818) 728-9877
Mailing address
15910 VENTURA BLVD, SUITE 1502, ENCINO, CA 91436-2802
(818) 728-9877
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A7488
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX74880
—
CA
01
—
050091442
RAILROAD MEDICARE
CA
Enumeration date
08/31/2006
Last updated
04/23/2014
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